Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00129
l � 4 DEVELOPMENT SERVICES DATE ISSUED: 3/31/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BC -00300
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: Covered seating area and french doors.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 174 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 18,000.00
Owner: Contractor:
BPP RETAIL LLC PACIFIC CREST CONSTRUCTION
BY BURNHAM PACIFIC PROPERTIES 24111 NE HALSEY ST
ATTN: JOHN WATERS STE 400
AN DIEGO, CA 92101 TROUTDALE, OR 97060
Phone: 669 -8570
FEES Reg #: LIC 00056255
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/31/2005 $216.10
[TAX] 8% State Surcharp 3/31/2005 $17.29
[BUPPLN] Pln Rv 3/31/2005 $140.47
[FLS] FLS Pin Rv 3/31/2005 $86.44
Total $460.30
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 ough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
call g 503 - 246 -66• • • -8 u- 332 -2344.
1 Iss ed By: # �� d - K - Permittee Signature: V 61-
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
4.
,` r •
Building Permit Application FOR. OFFICE USE ONI., r
City of Tigard Received ' Efio wb/ %J� /
Dat / �`�jV
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / 7 �
Phone: 503.639.4171 Fax: 503 ���m %gyp >; DatrlB : Other Permit: y% / f
Inspection Line: 503.639.4175
art 'I I Date ReadyBy: M 0 See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: 111 Supplemental Information
K • . ,. .,.. TYPE OF WORK % y _ , _ .1:1 _ REQUIRED DATA: 1 -•AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
•®' Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY 'OF CONSTRUCTION ° ' :•' -t•:: ''_: `:', work indicated on this application.
❑ 1- and 2- family dwelling ,Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 3.1 ,Z 5 rr, S C I4 d LL S F left /L r /L.. ` New dwelling area: square feet
City/ State/ZIP: Tx, 4 k ii i 0 r • 9-43-a3 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: ( Q Et=tiw A y p /t Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATAi'COMMERCIAL -USE CHECKLIST•
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ //g 0 C •-
1 ILE«.2S O VA It_ S6d - Tsru G 42/F r
Existing building area: square feet
A- O 0 P2E N CZ 14 V O o' S
New building area: square feet
❑ PROPERTY OWNER • - ' '`''" '
❑ TENANT ' : Number of stories:
Name: ( 14 C 61 FN. t- an vaS Type of construction:
Address: rG y M Cv G LS.) AI, J Occupancy groups:
City/ State/ZIP: pCl /L7L:Qt. -i/1 t o'e - Existing:
Phone: (S• 0 43.3 0 I 0 y' Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON F -
NOTICE ' 5::` , ,.,:••_,
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax: : ( )
E -mail:
. , CONTRACTOR
Business name: PA eS R r (11;=S T Cdtj lT• ` - ' ^ ;r'
: f..$UJLD,ING'..PERMIT
Address: ,) ti iii Ad i= /44Lt R.
Please refer to fee schedule.
City/State/ZIP: T2 vc1 - P A t o 1. ??C) ( C5
/ Fees due upon application
Phone: (co3) 649_ 6.- 4 G Fax: ( rCr3) E 6 S - G . 4i
Amount received
CCB lic.: S6 . j;
V Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ...n./ E VO J b A AIO Date: 3 /3/ /or * Fee methodology set by Tri -County Building Industry
Service Board.
i:\Building \Permits \BtJP- PemtitApp.doc 12/03 440.4613T(11/02/COM/WEB)
r
Building Division
Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type' of Submittal' ' . # of Plans
(Includes new, additions and alterations.) Required at .
Submittal.,
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03
i --
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00129
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/31/2005
Phone: (503) 639 -4171 :r,, �I
Inspection Requests (24 Hrs.): (503) 639 -4175 1_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 64
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCMENAMINS
DESCRIPTION: Covered seating area and french doors.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: PACIFIC CREST CONSTRUCTION PHONE #: 669.8570
Inspection Request Scheduled For: Date: 4/19/2005 Pour Time:
Code # Inspection Description Confirm # C• • - - • Message
299 Final inspection 004844 -01 503 -793 -7782 ' Y
Corrections /Comments /Instructions: I,
(..- ' ' .fl\A
,
J `"
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FE-- ASSESSED
s/ 1
Inspector: �. n
_ Date: � + 6 #: (503) 718-